Kimberly Telfair
Jacksonville,FL
Summary
Healthcare professional with extensive experience in managing patient accounts and ensuring seamless billing processes. Known for strong focus on team collaboration and achieving results, consistently adapting to changing needs. Skilled in financial record-keeping, claim processing, and patient communication, offering reliability and dedication to excellence.
Overview
19
19
years of professional experience
Work History
Patient Account Representative
Jacksonville Orthopaedic Institute
07.2021 - Current
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Facilitated claim resolutions through direct communication with insurance payers.
- Reviewed Medicare claim denials and created detailed appeals.
- Evaluated SNF/Hospice eligibility to support accurate billing and patient care.
- Managed the review and processing of Medicare medical record requests using the portal.
- Responded to patient, family, and external payer inquiries.
- Utilized computer programs to create invoices, letters, and other documents.
- Researched billing errors and discrepancies to initiate corrective action.
Account Payable Rep
Jacksonville Beach Surgery Center
08.2020 - 07.2021
- Processed accounts receivable for Auto, Medicare, and United Healthcare payers.
- Processed appeals for designated payer, ensuring accuracy and compliance.
- Utilized the portal to confirm eligibility, check claim status, and request Medicare records.
- Assisted front desk team during high-traffic periods to maintain efficient service.
Billing Specialist
Glycare
04.2019 - 06.2020
- Oversee daily Billing Department functions, including medical coding, charge entry, and posting
- Examine patients encounter forms to verify diagnosis codes, and reconcile codes against services rendered
- Accurately input procedure and diagnosis codes into billing software to generate invoices
- Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances
Patient Financial Service Rep II
Baptist Health
10.2018 - 03.2019
- Post revenues by verifying and entering transactions from lock box and local deposits
- Verified patient insurance
- Reviewed, resolved, and denied claims with insurance
Charge Entry Team Lead
Riverside Pain Physician
05.2013 - 09.2018
- Oversee daily Billing Department functions, including medical coding, charge entry, and posting
- Examine patients encounter forms to verify diagnosis codes, and reconcile codes against services rendered
- Accurately input procedure and diagnosis codes into billing software to generate invoices
- Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances
Medical Biller
Physicians Account Management
04.2006 - 05.2013
- Research and follow-up on medical claims
- Telephone inquiries on Medicare Part A and/or B insurance claims
- Inbound/Outbound calls to existing and potential clients
- Responsible for meeting monthly departmental standards
- Responsible for sending out written correspondence such as demand letter and resolution correspondence
- Posting of insurance and patient payments
Education
Associate of Applied Science - Medical Billing & Coding
Florida Metropolitan University
Jacksonville, FL01.2006
High School -
West Nassau High School
Callahan, FL01.2004
Skills
- Knowledge of Excel , Microsoft , Outlook, and Typing (45 wpm)
- Electronic Medical Record
- NextGen Greenway
- HST
- Cerner
- Epic
- Encoda
- Athena
- Truist Lockbox
- Teams
- 8x8
Timeline
Patient Account Representative
Jacksonville Orthopaedic Institute
07.2021 - Current
Account Payable Rep
Jacksonville Beach Surgery Center
08.2020 - 07.2021
Billing Specialist
Glycare
04.2019 - 06.2020
Patient Financial Service Rep II
Baptist Health
10.2018 - 03.2019
Charge Entry Team Lead
Riverside Pain Physician
05.2013 - 09.2018
Medical Biller
Physicians Account Management
04.2006 - 05.2013
Associate of Applied Science - Medical Billing & Coding
Florida Metropolitan University
High School -
West Nassau High School
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